10D2190071 CLIA NUMBER - DODD CHIROPRACTIC CLINIC PA

Laboratory Demographics

  • CLIA Code: 10D2190071
  • Facility Name: DODD CHIROPRACTIC CLINIC PA
  • Facility Address: 2025 PARK ST
    JACKSONVILLE, FL
    ZIP 32204
  • Facility Phone: 904 388-1811
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RILEY DODD
  • NPI Number: 1821082678
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 10D2190071
LAB Type Physician Office
Facility Name DODD CHIROPRACTIC CLINIC PA
Street 2025 PARK ST
City JACKSONVILLE
State FL
ZIP 32204
Phone 904 388-1811
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/10/2024
Certificate Expiration Date 8/9/2026
Facility Type Physician Office
Lab Director RILEY DODD

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This page was last updated on: 9/29/2025